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Scientific correspondence
Peripheral visual field defects after macular hole surgery: a complication with decreasing incidence
  1. Carolin A Gass,
  2. Christos Haritoglou,
  3. Elisabeth M Messmer,
  4. Markus Schaumberger,
  5. Anselm Kampik
  1. Department of Ophthalmology, Ludwig-Maximilians- University, Mathildenstrasse 8, D-80336 Munich, Germany
  1. Carolin A Gasscarolin.gass{at}ak-i.med.uni-muenchen.deor Anselm Kampikakampik{at}ak-i.med.uni-muenchen.de

Abstract

AIM To prospectively evaluate peripheral visual fields after vitrectomy for idiopathic macular holes.

METHODS Goldmann perimetry was performed in 105 patients before, as well as 6 weeks and 12 months after macular hole surgery.

RESULTS Only one patient (<1%) with a stage III macular hole developed an asymptomatic postoperative visual field defect. The scotoma was wedge-shaped, peripherally located in the temporal quadrant, and remained unchanged during the following 12 months.

CONCLUSION Peripheral visual field defects after macular hole surgery can be a complication of very low incidence. A rather low pressure set during air-fluid exchange as well as special aspects of the surgical technique may be responsible for this low incidence of peripheral visual field defects.

  • field defects
  • macular hole surgery

https://doi.org/10.1136/bjo.85.5.549

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